Organization
GENERAL & IMPLANT DENTISTRY OF SAN ANTONIO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS P CERILLO DDS (PRESIDENT/DENTIST)
(352) 668-4819
Entity
Organization
Contact information
Practice address
32347 SR 52 STE B, SAN ANTONIO, FL 33576-8147
(352) 668-4819
(352) 668-4820
Mailing address
PO BOX 357, SAN ANTONIO, FL 33576-0357
(352) 668-4819
(352) 668-4820
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN11574
FL
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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